Chris, in my opinion, the debate is not about top-down ~vs~ bottom-up approaches. Instead, it's about occupation as the PRIMARY outcome measure versus occupation as a secondary measure.
Occupation as a PRIMARY outcome measure implies that occupation is: a. The reason for a referral b. The determinant for identifying if OT is indicated C. The STATED goal(s) c. The measure of success/failure Thanks, Ron ~~~ Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: cmnahrw...@aol.com <cmnahrw...@aol.com> Sent: Saturday, June 13, 2009 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] Dental Hygienst Knows About OT... cac> I see the horse is not dead yet!!!! cac> This age old debate revolves around the top down approach and the cac> bottom up approach to treatment, or the occupation as a means or an cac> end. ... -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com